| NPI | 1538593157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H HUMBLE Chief Financial Officer 602-364-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |